Intraventricular hemorrhage from ruptured aneurysm: Clinical characteristics, complications, and outcomes in a large, prospective, multicenter study population

David S. Rosen, R. Loch Macdonald, Dezheng Huo, Fernando D. Goldenberg, Roberta L. Novakovic, Jeffrey I. Frank, Axel J. Rosengart

Research output: Contribution to journalArticle

49 Scopus citations

Abstract

Object. In this study the authors analyzed the relationship of intraventricular hemorrhage (IVH) to in-hospital complications and clinical outcome in a large population of patients with aneurysmal subarachnoid hemorrhage (SAH). Methods. Data from 3539 patients with aneurysmal SAH were evaluated, and these data were obtained from four prospective, randomized, double-blind, placebo-controlled trials of tirilazad that had been conducted between 1991 and 1997. Clinical characteristics, in-hospital complications, and outcome at 3 months post-SAH (Glasgow Outcome Scale score) were analyzed with regard to the presence or absence of IVH. Results. Patients with SAH and IVH differ in demographic and admission characteristics from those with SAH but without IVH and are more likely to suffer in-hospital complications and a worse outcome at 3 months post-SAH. Conclusions. The presence of IVH in patients with SAH has an important predictive value with regard to these aspects.

Original languageEnglish (US)
Pages (from-to)261-265
Number of pages5
JournalJournal of neurosurgery
Volume107
Issue number2
DOIs
StatePublished - Aug 1 2007

Keywords

  • Cerebral infarction
  • Intraventricular hemorrhage
  • Outcome
  • Subarachnoid hemorrhage vasospasm

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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